2022-2023 BH MSA Annual Report

2022-2023

BH MSA Annual REPORT

BH MSA Executives

STRATEGIC OVERVIEW

VISION

Engaged medical staff providing exceptional patient care

MISSION

Advancebroadandmeaningfulphysician relationshipsthatservetoenrichinterphysiciancommunicationandbetterunifythe voicesofBurnabyHospitalphysicians.

Instituteevidence-basedpatientcareinitiatives thatenhancequality,safety,satisfaction,and/or value.

Developaconstructivepartnershipwithlocal andregionaladministrationthatseekstocreate, improve,andmaintaineffectiveandefficient healthcaredeliveryatBurnabyHospital.

Fosterrelationshipswithcommunityhealthcare providersandotherstakeholdersthatserveto heightenpatientcareviaeducation, coordination,andcollaboration.

STRATEGIC PRIORITIES

Improve Professional and collegial communication with key stakeholders such as local health administration, regional health administration, other medical staff & Information Management and Information Technology

Promote a learning culture that supports appropriate medical staff advocacy for patients and changes to Health Care.

Engage in significant decisions that affect medical staff and the delivery of services.

Advocating for a culture of wellness including diversity, inclusiveness, equity, and supporting initiatives that create a healthy, resilient, and valued community of medical staff in Burnaby Hospital

Dr. Donna Sue

MSA President

Dr. Scott McGuffin Secretary

Dr Joanne Rowell-Wong Treasurer - Association

Dr. Vishal Gupta Treasurer - Society

President's Message

Dr DonnaSue,MD MSAPresident

It is with great pride and gratitude that I reflect on another year of exceptional accomplishments by our diverse medical staff at Burnaby Hospital. I see the passion and dedication in the work you do, the strive for continual improvement for our work environment, and the desire to provide the best care possible to our patients.

Over the past year, our world has faced unprecedented challenges, demanding more from our medical staffthaneverbefore.Fromincreasedpatientvolumesandacuity,unrelentingovercapacity,andeventhe excitement of embarking on the transformative journey of redevelopment, the MSA has continued to advocate for you, to bring your voices to decision-making tables in respectful yet powerful ways, to bring positiveandneededchangestoourworkspacestoupliftthecareforourpatients.

Internally,theMSAexperiencedmanychangesthisyearwithturnoverofsupportstaffandnewadditions tothegovernancetableandtheworkinggroup.Wearethankfultothosewhocamebeforeus,whosetus on this collaborative pathway, who built the structures and the processes, and who are still providing guidanceandsupport,cheeringforoursuccess.Astheyearprogressed,welearnedtoacceptthatchange isaconstantandchallengesbecameopportunities.Iamproudthatourmedicalstaffcanfaceadversityas a cohesive group, stand together in support of each other, have varied opinions yet support the common goal,providingexceptionalpatientcare.

We continue to focus on our strength which is our people; supporting the well-being of our medical staff withnutritionalsuppliesintheDoctorsLounge,anddevelopingourpeersupportprogramtobeabeacon of support. In addition, we prioritized development for our leaders by providing experiences through the Director at Large program, by supporting our Medical Women Leaders to grow as a community, and by offeringtoolslearnedthroughleadershipcoursestakentogether.Weemphasizedqualityimprovementto enhance the care for our patients by reducing unnecessary tests, developing new pathways, and collating resources. We approached Health Authority initiatives with collaboration, through the contributions of ourlocalEHRTaskGroup.

As we continue to embark on the journey of redevelopment at Burnaby Hospital, we recognize that it will require patience, resilience and adaptability from all of us. We remain steadfast in our commitment to advocate for minimal disruptions to patient care and ensure a smooth transition through each phase of redevelopment.

I would like to express my deepest gratitude to our medical staff community for believing in the work we aredoingthroughtheFacilityEngagementInitiative.Mycommitmenttoyouistocontinuetostrengthen our internal processes, become more transparent through better communication and listening to your feedback. By aligning MSA innovations with that of our site and region, we ensure our vision of an engaged medical staff providing exceptional patient care will continue to be the “North Star” that we follow.

Message from BH Senior Executives

ARemarkable2022/23

Dr IshAmhed,MD BHSiteMedicalDirector

Whataremarkableyearithasbeenasourhospitalcampusbegins itstransformationandconstructionreachesthetopfloorofthe expandedSupportFacilitiesBuilding.Amidstallthis,whathas stoodoutisthecollaborativeplanningeffortsofourmedical

Oneoftheearliestrenovationswasthenew,interimDoctor'sLounge,whichhasreceivedpositive feedback.Thespacehasfosteredcontinuedcollaborationamongthemedicalstaffaswellashosting variousMSAeventsandactivities.

TheintenseandfocusedplanningandexecutionoftemporarymovesfortheEmergency DepartmentZone3andCommunityOutpatientServiceswerealsoadmirable.Themedicalstaff werecommitted,eager,andactivelyinvolvedtoensuresmoothoperationsandsafepatientcare.

AnotherhighlightwasreceivingtheNationalSurgicalQualityImprovementProgram-Most MeritoriousAwardfor2023.Thisrecognitionunderscoresthecommitmenttoprovidinghighqualitypatientcareandexcellenceinsurgicalservices.ThelargeinterdisciplinaryteamsatBurnaby Hospitalhavedemonstratedexceptionaldedicationanditisatestamenttotheireffortsthat BurnabyHospitalhasconsistentlyreceivedthe"mostmeritorious"awardsamongallparticipating sitesyearafteryear.

Weareproudofthestrideswehavemadeandremainhopefulaboutthepromisingfuturethatlies ahead.

LookingAheadto2023/24–ThePossibilities

ContinuedeffortstostrengthentherelationshipsbetweendyadsandtriadsinvolvingLocal DepartmentHeads,OperationalManagers,andOperationalDirectorswillremainakeygoal.In June,aMulti-disciplinaryHealthcareCoordinationCommittee(MHCC)meetingwasheldoutdoors underthegazebo.Itprovidedanopportunitytoaddressthechallengesandnecessarychangesand generatenewideasrelatedtoPhase1Redevelopment.

Therewillbeaparticularfocusonnewmodelsofcareinresponsetochallengeswithsitecapacity andoccupancy,emergencyvisits,andsitecongestion.Aworkinggroupisexploringopportunities todecreasethelengthofstayformedicalpatientsbyonedayandimprovehospitaloutflow.Virtual careisalsobeingexploredbyleadersacrossEmergency,Hospitalists,InternalMedicine,and varioussupportservices(Lab,MedicalImaging,Registration,andPharmacy).

DIRECTOR

Ms. Leanne Appleton Executive Director BH & Health Services staff, medical and operational leaders, and the redevelopment team.

Message from BH Senior Executives

Dr IshAmhed,MD BHSiteMedicalDirector

Ms. Leanne Appleton Executive Director BH & Health Services

Other changes include the upcoming opening of the Pediatric Rapid Access Clinic and the planning for a potential Respiratory/Pulmonary Rapid Access Clinic - both aiming to reduce Emergency Department visits.

Throughout all these initiatives, the collective goal is to try out new processes, learn from the results, and continuously improve together. We embrace openness to innovation, always striving to deliver the best patient care despite the challenges posed by significant staffing shortages across many specialties.

The continued collaboration between medical staff, operational leaders, and staff is pivotal in building a shared, unified vision for our hospital's future. This collaborative approach enables true transformation for Burnaby Hospital - a transformation driven by our teams and not solely by the opportunities presented by the redevelopment project.

We want to express our deep gratitude to all medical staff and the MSA Executive for their unwavering commitment to our patients, our hospital, and to each other during these challenging times. Together, we will continue to navigate the path towards a brighter future for Burnaby Hospital and the community we serve.

Message from Foundation

Kristy James Foundation President & CEO

Together, we have accomplished so much in the past year. Incredible progress has been made in the construction of our new and upgraded facilities and we take great pride in our community’s willingness to donate to their local hospital.

We also recognize that this past year has been grueling, demanding and frustrating for you, our doctors. The challenges that you face are complex and of the utmost importance to the health of our community.

I have heard time and again that patients who receive care at our hospital feel like they are treated like family, and that has helped give purpose to the meaningful wor that we all do. I am proud to work alongside our dedicated medical staff who continue to persevere with a smile on their faces and a warm welcome to the next patient.

The Foundation is here to support our physicians We work tirelessly to advocate for better equipment and technologies to make th little bit easier. Our Bright Future redevelopm equipment to our medical and support staff, a contribute to your goals of better patient care.

The Foundation reached significant milestone ground on our Bright Future redevelopment an major fundraising target. Our physicians had a Foundation raise much-needed funds, and for gratitude. You are the faces that patients see a compassionate care when they need it most.

On top of being our frontline champions, you h donated towards our campaign and have becom Foundation. With every word spoken and actio Hospital, your colleagues, patients and so man inspired to follow suit.

Once again, thank you for playing such a cruci your hospital.

Sincerely yours,

Alignment & Operations Subcommittee

The Alignment and Operations Subcommittee recognizes the importance of collaboration, alignment and operational efficiency in delivering exceptional patient care and advancing our collective mission.

Dr. Donna Sue, MD

MSA President

This past year has brought forth unique challenges and opportunities that have required us to adapt and evolve. We have witnessed the resilience and dedication of our medical staff as we navigated the complexities of a changing healthcare landscape. By fostering collaboration and synergy across acute and community care, we looked at areas for maximizing our collective impact on patient outcomes.

Operational efficiency is crucial to our work and looking at optimizing processes, reducing administrative burdens and streamlining workflows are integral to improving patient experiences. Through ongoing dialogue and collaboration with hospital administration, we are working towards aligning our strategies to be innovative, to be bold in trialing new ideas and to continually learn and not be afraid when first attempts in learning lead to new opportunities.

Communication Subcommittee

TheCommunicationsSubcommitteewould liketohighlighttheongoingcommitmentto havingtheDoctorsLoungeasour communicationshub.Byattractingmedical staffwithmorningcoffeesandlattes,regular treatsforwaningbloodsugarsthroughoutthe dayandnight,andprovidingregularupdates ofactivitiesandeventsthroughnoticesand colourfulposters,theDoctorsLoungeplaysan integralpartinthelifeofmedicalstaff.The DoctorsLoungewassuccessfullymovedfrom thesecondfloortoournewlocationonthe thirdflooraspartoftheredevelopmentof BurnabyHospital.Althoughthefootprintis smaller,thenewLoungeiswelcoming,lightfilled,andcozy.KudostotheRedevelopment teamformakingthetransitionseamless. Thankyouforyourpatience,aswithany renovations,timelinesarejustaguideline.

TheBHMSAwebsiteisimportantfor providingmedicalstaffwithinformation aboutactivities,events,projectsand processes.Despitethechallengesandchanges encounteredthroughoutthisyear,ourgoalis tomaintainthewebsitewithregularuptodate contentandbethego-toforaccessible informationformedicalstaff.Checkitoutat bhmsa.caanduseittopayyourannual medicaldues.

Forthosesavvywithsocialmedia,ourBHMSA Instagramaccountalsoisagoodsourceto keepuptodatewithlocaleventsand activities.

TheDrsDigestisourmonthlynewsletterthat bringsyounewsofyourmedicalstaff communityandanotherchanneltokeepyou wellinformed.

Throughpersonal,digitalandold-fashioned printedchannels,theCommunications Subcommitteeisdedicatedtokeepingyou informedinatimelymannerofwhatyouneed toknowabouttheBHMSA,thuscontributing toourVisionofEngagedMedicalStaff ProvidingExceptionalPatientCare!

Dr. Donna Sue, MD MSA President

Quality Improvement Subcommittee

As we wrap up the fiscal year 2022-2023, I wanted to take a moment to reflect on our Quality Improvement (QI) Subcommittee Journey. Throughout the past year, we witnessed a shift in

focusamongourmedicalstaff,frompredominantlyprioritizing COVID-relatedmatterstoembracingprojectsaimedat enhancingpatientcareatBurnabyHospital.TheQI Subcommitteesuccessfullysupportedatotalof11projects, consistingof5Kickstarterprojectsand6fullprojects.Beloware theaccomplishmentsofafewoftheseprojects:

Project:QualityCafé2022-2023

Goals:

ProvideaplatformtoshareandhighlightQIprojectsand ideasatBH.

Obtaininputandideasfrommedicalstaffcolleagues,thesite executivedirector,andQIexpertsonsuccessfullynavigating BurnabyHospital.

Dr. Melissa Allan, MD QI Subcommittee Lead

Quality Improvement Project Highlights

Project: FAST Pathway Same-Day Discharge for Total Hip and Arthroplasty

Background: Prior to the FAST Pathway, there was no formal opportunity for elective total hip and knee arthroplasty (THA/T patients to participate in same-day discharge (SDD). SDDs we done ad hoc for only select THA patients. Literature demonstr SDD pathways, including both elective THA and TKA, help red the length of stay, increase access and flow, improve patient satisfaction, with non-inferiority in patient safety.

Aim: By December 2023, 90% of booked low-risk elective THA/TK patients following the FAST Pathway at Burnaby Hospital will be successful SDD

Preliminary Results: FAST pathway SDD success rate is 84.5% as o May 30 2023. SDDs have increased from 7.4% to 21% post FAST pathway, from November 1, 2022 to February 28, 2023.

Project: Stop the group and screen!

Background: Currently, all patients undergoing total knee arthroplasty (TKA) and total hip arthroplasty (THA) at Burnaby Hospital undergo a routine group and screen, even though it is not recommended for low-risk surgeries. This unnecessary testing can potentially harm patients and increase laboratory costs and time.

Aim: By March 31, 2023, the number of inappropriate group and screen tests performed on TKA and THA surgeries at Burnaby Hospital will decrease by 80%.

Results: A chart demonstrating a reduction in group screen tests from 100% to 0% is provided.

Information Technology Subcommittee

The Information Technology (IT) subcommittee is focused on promoting the awareness, understanding, development, and implementation of information technology healthcare solutions for the Burnaby Hospital Medical Staff (MSA). Over the past few years, this subcommittee put on IT workshops, provided recommendations on Virtual Healthcare, facilitated engagement and usage of new Dr. Andy Chan

FHAInformationManagement/InformationTechnology(IMIT)productssuchasFrontEndSpeak Recognition(FESR)andMicrosoftOffice365,andsupportedthedevelopmentofourBHMSA.ca website.

Duringthe2022/23year,twoofourmembers(Dr.GalinaVorobeychikandDr.MarketaVanDen Elzen)workedonakickstartproject,inwhichtheycollaboratewithFHAIMITteamtoadoptthe FraserHealthVirtualCare(FHVC)platformfortheirMultipleSclerosis(MS), Electroencephalogram(EEG),andNeurologyclinics.Thefeaturesincludepatientscheduling, virtualvisitwithvideoappointmentremindersandpreparations.Theplatformhasresultsin improvementofpatientcare,reductionofno-shows,anddecreasedburdenofadministrativestaff. ThisprojecthasbeenasuccessandhighlightfortheITcommitteeofthe2022/23year,andbothDr. VorobeychikandDr.VanDenElzenlookforwardtohelpingotherclinics/departmentsatthe BurnabyHospitaltoadoptFHVC.

Overthelastyear,theITcommitteehasalsoincreasedthecollaborationwithFHAIMITteamand ourAssociateChiefMedicalInformationOfficer(ACMIO)forBurnabyHospital,Dr.Pierre Camateros.Forexample,undertheleadershipofDr.Camateros,andourMSAPresidentDr. DonnaSue,anElectronicHealthRecord(EHR)TaskGroupconsistsofMSAstaffrepresentatives fromvariousdepartmentswasformed.TheTaskGroupworkswithFHAIMITtoobservethe rolloutofMeditechExpanse/ADVANCEatthepilotsites,andtopreparefortheeventualrolloutat theBurnabyHospital.TheITcommitteehasalsoworkedwiththeFESRprojectteamandourlocal leadershipteamtofacilitatetraininganduseofFESRamongourMSAstaff.

InMay2023,IhavesteppeddownfromtheITcommitteeleadposition,withDr.MarketaVanDen Elzenbecomingthenewlead.UnderDr.VanDenElzen’sleadership,thecommitteewillcontinue thecollaborationwithFHAIMIT,andwillencouragemoreMSAstaffto

engage in IT related initiatives/projects. In addition, with Dr. Pierre Camateros participating in our future IT committee meetings, we will work together to be the liaison between our MSA staff and FHA IMIT for both current and upcoming solutions/initiatives.

IT Subcommittee Lead

Ja Wellness

Wellness Subcommittee

Dr. Chris Wu, MD Wellness Subcommittee Co-Lead

Oursubcommittee’sstrengthisinits12members.Wehave amazinglydifferentbackgroundsandexperiencesfromearlyto

late ca cialties including hospital, internal, emergency and nuclear medic ral surgery.

We ar complishments over the past fiscal year. Our successes are numerous including peer support, meditation training, and social events like a post-pandemic healing concert and a New Year’s Eve skating party.

I’d like to highlight peer support training spearheaded by Dr Anna O’Malley. We’re grateful to receive teaching from experts like Drs Mayhew, Ruffo and Ayi-Bonte in both level one and more recently additional training with level two. Many Burnaby physicians are now in a position to provide peer support to our MSA members.

Another success story is the financial masterclass series. Through several zoom sessions with Alphil Guilaran and the Financial Literacy Council, we received financial advice for early, mid, late career physicians.

We envision more peer support training in the coming year. We’ll also be promoting and advertising peer support via a poster and updating the wellness section of the MSA website. Wehaveapproved kickstartfundingforaproject for de-stigmatizing mental illness for health care workers. Weplanto organizeasummerpicnicforMSAmembersandtheirfamiliesandpromotehealthandexercise withactivitiessuchasa10Krunandhikesthroughoutsummer.

Thanks for your ongoing interest and support!

Drs Jack Jay and Chris Wu

Dr.

It’sbeenourprivilegetoleadtheMSAwellnesssubcommittee sinceJan2022.

Education Leadership Subcommittee

Dr. Tym Frank, MD Subcommittee Lead

The Education & Leadership’s biggest success for the 2022/23 fiscal year was the facilitation of the extension of the supporting women leadership program, which was renewed for the 2023/24 fiscal year. It was a great project that many participants found valuable and something we want to continue to carry out.

Overthelastyear,wehavehadalargetransitioninmembers,withmembersleavingthe committeeandnewmembersjoining.Thechangeinmembershasbroughtmanynewideasand opportunitiesforthesubcommittee.

TheEducation&LeadershipSubcommitteeisplanningonmeetinginthefallwiththegoalof gettingmoreideasforsubcommitteeinitiativesandenhancingtheengagementofourmembers. AsourlastmeetingintheSpringhadaturnoutofonly4attendees,wearestrivingtoenhancethe engagementaspectofoursubcommittee.

Redevelopment Project

Dr Brian McGowan, MD Redevelopment Physician Lead

Phase one of the redevelopment project is progressing at full speed. In the coming months, the two new building structures will reach their final heights, and ongoing renovations to the existing Support Facilities Building will bring crucial upgrades to modernize the aging infrastructure. Also this year, we will begin operational readiness planning with our teams.

Phase two business case has been submitted to the government with anticipated approval in the near future. Phase two will encompass the addition of approximately 160 inpatient beds, a new medical imaging department, an expanded Emergency Department, and a new BC Cancer Centre. We extend our gratitude to everyone involved in the planning of our future campus of care. Your contributions have been instrumental in shaping the vision for the future Burnaby Hospital.

We acknowledge the challenges related to parking as we navigate the complexities of constructing a modern hospital while maintaining services for our patients. Patients and families are at the centre of our decision-making process and we appreciate your continued flexibility and understanding.

Despite the inconveniences and disruptions caused by the ongoing redevelopment, we’ve witnessed remarkable collaboration, creative solutions, and unwavering resilience within our hospital community. We remain hopeful and optimistic as we continue on this transformative journey.

Redevelopment Project

What a big year for the Burnaby Hospital redevelopment project. In 2022-2023, we:

Broke ground on the two new buildings: the Keith and Betty Beedie Pavilion and the Support Facilities Building expansion.

Undertook fully-constructed model room reviews with over 150 staff and medical staff to test and refine the design of new operating rooms, patient rooms, clinic spaces, and more.

Welcomed our first and second crane on the construction site.

Began renovations within existing buildings.

Submitted the business case for Burnaby Hospital Redevelopment Phase 2 and BC Cancer Centre to the provincial government.

Completed excavation for the new Beedie Pavilion and started the ‘building phase’.

Celebrated our one-year anniversary of the start of construction for Phase 1.

We’ve made major strides in getting the new hospital off the ground and the work is well underway.

It will be another busy year - here’s what to expect in2023-2024:

Anticipated approval for phase two business plan to proceed. Designs of the hospital will cross the finish line.

Structure of the six-storey Beedie Pavilion and seven-storey Support Facilities Building expansion will be complete by fall 2023.

Operational readiness planning and validation of staffing requirements will begin.

Financial Report Report

Financial Report Report The People Behind the MSA 2022-2023

THANK YOU FOR ALL OF THE TIME AND EFFORT SPENT TO SUPPORT OUR MEDICAL STAFF ASSOCIATION

EXECUTIVE TEAM

Dr Donna Sue, President

Dr. Scott McGuffin, Secretary

Dr. Vishal Gupta, Society Treasurer

Dr Joanne Rowell-Wong , MSA Treasurer

Dr Rebbecca Nelson, Director at Large

Dr. Helena Lee, Director at Large

Dr. Julia Stewart, Director at Large

Dr Iram Yunus, Director at Large

WORKING GROUP

Dr Andy Chan

Dr. Buldip Khosa

Dr. Charlene Lui

Ms Dawn Henderson

Dr Donna Sue

Dr Debbie Basco

Dr. Ethan Reiner

Janice Eng, Progaram Manager

Dr Gavin Gracias

Dr. Helena Lee

Dr. Joanne Rowell-Wong

Dr Julia Stewart

Dr Kara-Marie Nedd

Dr Kristel Lobo-Prabhu

Ms. Leanne Appleton

PROGRAM SUPPORT STAFF

Maryam El Tawil, QI Project Manager

Katarina Gajic, Project Coordinator

Davis Sue, Financial Coordinator

Angela Sue, Physician Lounge Coordinator

Rita Cormier, EHR Consultant

Dr Maria Wu

Dr. Melissa Allan

Dr. Rebecca Nelson

Dr Scott McGuffin

Dr Tiffany Winstone

Dr Vishal Gupta

*Carrolyn Sami, Program Manager

*Lina Thompson, Program Manager

*Lisa Tam, Communications Consultant

*Stephanie Rudnisky, Project Coordinator

*Tracey Huang, Project Coordinator

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